Active NPI
Colonnades Health Care Center LTD Co
- Skilled Nursing Facility
- Pearland, TX
National Provider Identifier
1396933016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- COLONNADES HEALTH CARE CENTER LTD CO
- Practice address
- 12001 Shadow Creek Parkway
Pearland, TX 77584-0000 - Phone
- (214) 954-4114
- Fax
- (214) 871-3057
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin F Underhill
- Title
- Ceo
- Phone
- (214) 954-4114
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
12001 Shadow Creek Parkway
Pearland, TX 77584-0000
Mailing address
2537 Golden Bear Dr
Carrollton, TX 75006-2377
Phone (214) 954-4114
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5538 | Medicaid | TX | |
| 001016290 | Medicaid | TX |
Other names 1
- THE COLONNADES AT REFLECTION BAY
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270771200000",
"number": "1396933016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2537 GOLDEN BEAR DR",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750062377",
"telephone_number": "214-954-4114",
"fax_number": "214-871-3057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12001 SHADOW CREEK PARKWAY",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775840000",
"telephone_number": "214-954-4114",
"fax_number": "214-871-3057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONNADES HEALTH CARE CENTER LTD CO",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2010-04-09",
"status": "A",
"authorized_official_last_name": "UNDERHILL",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-954-4114"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5538",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001016290",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE COLONNADES AT REFLECTION BAY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.